Dianne Jaggon, RPA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

006585 Issued in NY

Practice address

4904 19TH Ave
Astoria, NY 11105-1002

Phone

(718) 777-3494

NPI assigned

Jul 23, 2009

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dianne.jaggon.1@24989.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/23390/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• CS Medical Associates, P.C.

  • Counselor
  • Amityville, NY
  • NPI 1790653236
  NPD
• State of New York Comptrollers Office

  • Skilled Nursing Facility
  • Stony Brook, NY
  • NPI 1184621724
  NPD
• State of New York Comptrollers Office

  • Developmental Disabilities Clinic/Center
  • Staten Island, NY
  • NPI 1750469912
  NPD
• Symphony Medical PC

  • Orthopaedic Surgery Physician
  • Dobbs Ferry, NY
  • NPI 1023600327
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1248307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1417187568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4904 19TH AVE",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111051002",
            "telephone_number": "718-777-3494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4904 19TH AVE",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111051002",
            "telephone_number": "718-777-3494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAGGON",
        "first_name": "DIANNE",
        "credential": "RPA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-23",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "006585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latayvia Sheris Jackson
• Kimberly A Jackus, MD
• Arthur Jacobs, SLP
• Asad Jafary
• Czarinabelle Jaffery
• Kris Jaho, PHARMD
• Sarinanima Jama
• James Jabile, M.D. P. C.
• James Suridis Jr Occupational Therapy PLLC
• Dion Malik James-Aljure

• Medical Physician Assistant in Astoria, NY
• Providers in Astoria, NY by specialty
• Medical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.